Organization Active NPI

Mary F Burgesser Mdpa

  • General Practice Physician
  • Allen, TX
National Provider Identifier
1346737046
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
K4005 Issued in TX
Legal business name
MARY F BURGESSER MDPA
Practice address
1420 W Exchange Pkwy Ste 120
Allen, TX 75013-4696
Phone
(972) 521-6210
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeff Barber
Title
MGR
Phone
(806) 355-6593

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X K4005 TX Primary

Addresses

Primary practice location

1420 W Exchange Pkwy Ste 120
Allen, TX 75013-4696

Mailing address

PO Box 8337
Amarillo, TX 79114-8337
Phone (806) 355-6593

Other names 1

  • MARY F BURGESSER-HOWARD MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1346737046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8337",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791148337",
            "telephone_number": "806-355-6593",
            "fax_number": "806-352-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W EXCHANGE PKWY STE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134696",
            "telephone_number": "972-521-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY F BURGESSER MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "806-355-6593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "K4005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARY F BURGESSER-HOWARD MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.